ReviewInvestigative and clinical urology2017
Lessons learned over a decade of pediatric robotic ureteral reimplantation.
Review in Investigative and clinical urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Comprehensive Analysis of Robot-Assisted Surgery Uptake in the Pediatric Surgical Discipline.Frontiers in surgery · 2019Pooled it
- Global trends in robot-assisted ureteral reimplantation: a bibliometric and visualization analysis.Journal of robotic surgery · 2026Article
- Current practices in robotic surgery for distal ureter in children: results from an EAU robotic urology section (ERUS) survey.Frontiers in pediatrics · 2026Article
- Facing the toughest cases: the role of robot-assisted laparoscopic ureteral reimplantation (RALUR) in pediatric urology - a multicenter analysis.Journal of robotic surgery · 2025Article
- Comparative Outcomes of Robot-Assisted vs Traditional Laparoscopic Ureteral Reimplantation for Lower Ureteral Stenosis: A Single Center Study.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- From open to robotic surgery in pediatric ureteral reimplantation: overcoming the learning curve for improved outcomes.Frontiers in surgery · 2025Article
- Single-center results from the first 100 robotic ureteral reimplantation in children: analysis of learning curve effects.Frontiers in surgery · 2025Article
- Robotic Management of Complex Obstructive Megaureter Needing Ureteral Dismembering and/or Tapering in Children: A Single-Center Case Series.Medicina (Kaunas, Lithuania) · 2024Article
- Narrative review: robotic pediatric surgery-current status and future perspectives.Translational pediatrics · 2023Review
- Paediatric robotic surgery: a narrative review.Journal of robotic surgery · 2023Review
- Robotic ureteral reimplantation and uretero-ureterostomy treating the ureterovesical junction pathologies in children: technical considerations and preliminary results.Journal of robotic surgery · 2023Article
- Open versus minimally invasive ureteroneocystostomy: trends and outcomes in a NSQIP-P cohort.Journal of robotic surgery · 2023Article
- Robotic-assisted surgery in the pediatric surgeons' world: Current situation and future prospectives.Frontiers in pediatrics · 2023Review
- Advances in robotic surgery for pediatric ureteropelvic junction obstruction and vesicoureteral reflux: history, present, and future.World journal of urology · 2020Review
- Robot-assisted laparoscopic ureteral reimplantation in children: a valuable alternative to open surgery.World journal of urology · 2020Review
- Robot-Assisted Laparoscopic and Thoracoscopic Surgery: Prospective Series of 186 Pediatric Surgeries.Frontiers in pediatrics · 2019Article
- The Robot-Assisted Extravesical Anti-reflux Surgery: How We Overcame the Learning Curve.Frontiers in pediatrics · 2019Review
- Managing vesicoureteral reflux in children: making sense of all the data.F1000Research · 2019Review
- The age of robotic surgery - Is laparoscopy dead?Arab journal of urology · 2018Review
- Relative to open surgery, minimally-invasive renal and ureteral pediatric surgery offers no improvement in 30-day complications, yet requires longer operative time: Data from the National Surgical Quality Improvement Program Pediatrics.Investigative and clinical urology · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The da Vinci robotic system has improved surgeon dexterity, ergonomics, and visualization to allow for a minimally invasive option for complex reconstructive procedures in children. Over the past decade, robot-assisted laparoscopic ureteral reimplantation (RALUR) has become a viable minimally invasive surgical option for pediatric vesicoureteral reflux (VUR). However, higher-than-expected complication rates and suboptimal reflux resolution rates at some centers have also been reported. The heterogeneity of surgical outcomes may arise from the inherent and underestimated complexity of the RALUR procedure that may justify its reclassification as a complex reconstructive procedure and especially for robotic surgeons early in their learning curve. Currently, no consensus exists on the role of RALUR for the surgical management of VUR. High success rates and low major complication rates are the expected norm for the current gold standard surgical option of open ureteral reimplantation. Similar to how robot-assisted laparoscopic surgery has gradually replaced open surgery as the most utilized option for prostatectomy in prostate cancer patients, RALUR may become a higher utilized surgical option in children with VUR if the adoption of standardized surgical techniques that have been associated with optimal outcomes can be adopted during the second decade of RALUR. A future standard of RALUR for children with VUR whose parents seek a minimally invasive surgical option can arise if widespread achievement of high success rates and low major complication rates can be obtained, similar to the replacement of open surgery with robot-assisted laparoscopic radical prostectomy as the new strandard for men with prostate cancer.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.